| Christopher I Lacy, MD | |
|
11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | |
| (770) 991-8000 | |
| Not Available |
| Full Name | Christopher I Lacy |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 32 Years |
| Location | 11 Upper Riverdale Rd Sw, Riverdale, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073590295 | NPI | - | NPPES |
| 000799499 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 045865 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| Westerly Hospital | Westerly, RI | Hospital |
| William W Backus Hospital | Norwich, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ocean Radiology Associates Pc | 1951315779 | 15 |
| Ocean Radiology Associates Pc | 1951315779 | 15 |
| Entity Name | Ocean Radiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922166073 PECOS PAC ID: 1951315779 Enrollment ID: O20180118001449 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher I Lacy, MD 1984 Peachtree Rd Nw, Ste 505, Atlanta, GA 30309-5219 Ph: (770) 779-2178 | Christopher I Lacy, MD 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 Ph: (770) 991-8000 |
J. Warner Ray, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 255 Professional Ct, Riverdale, GA 30274 Phone: 770-997-8424 | |
Elizabeth L Hadley, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-8000 | |
Balu S Mani, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 119 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-1010 | |
John B Black, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-8000 | |
Neal Simmons, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-8000 | |
John Harold Giesler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 255 Professional Ct, Riverdale, GA 30274 Phone: 770-997-8424 |